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BlueCross BlueShield of Tennessee · 1 day ago

Behavioral Health Case Manager - Murfreesboro

United States

Full-time

Remote

Mid Level

3+ years exp

BlueCross BlueShield of Tennessee is seeking a dedicated Care Manager to support BlueCare members during critical transitions. In this role, you will work closely with local Acute Inpatient Psychiatric facilities to assist with discharge planning and help members navigate care post-discharge.

Health CareMedical

Responsibilities

Conduct onsite visits to local Acute Inpatient Psychiatric facility in the Murfreesboro area. This is at a minimum of twice weekly to support discharge planning

Participate in treatment team meetings, sharing insights on member cases and collaborating on care strategies

Assist members in finding appropriate care or resources post-discharge, including behavioral health services

Provide telephonic follow-up to ensure members have what they need for successful recovery

Maintain a caseload while balancing onsite visits and remote support

Collaborate with providers and internal teams to meet member needs and resolve challenges

Supporting utilization management functions for more complex and non-routine cases as needed

Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs

Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits

Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation

Perform case management activities in community settings including face to face with members as required

Various immunizations and/or associated medical tests may be required for this position

Testing/Assessments will be required for Digital positions

Qualification

Tennessee nursing licenseClinical behavioral health experienceCommunity care resources knowledgeMicrosoft Office proficiencyMotivational Interviewing TechniquesAnalytical skillsPrioritization skillsDecision-making skillsCommunication skillsInterpersonal skillsOrganizational skillsRelationship building skills

Required

Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law

3 years - Clinical behavioral health / substance use disorder experience required

1 year - Must be knowledgeable about community care resources and levels of behavioral health care available

Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)

Independent, Sound decision-making and problem-solving skills

Excellent oral and written communication skills

Strong interpersonal and organizational skills

Strong analytical skills

Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations

Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions

Experience with Motivational Interviewing Techniques and Adult Learning Styles